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NPI Code Detail

MEDICARE: ANA L BAGUET AMADOR

MEDICARE:   ANA L  BAGUET AMADOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1205657293
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA L BAGUET AMADOR
Provider Business Mailing Address
First Line : 5315 W 25TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33016-4751
Country : US
Telephone Number : 786-684-2175
Fax Number :
Provider Business Practice Location Address
First Line : 5315 W 25TH CT
Second Line :
City : HIALEAH
State : FL
Zip : 33016-4751
Country : US
Telephone Number : 786-684-2175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2024
Last Update Date : 10/22/2024

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Directions to “ ANA L BAGUET AMADOR ” Practice Location

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